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Department of Health and Human Services Food and Drug AdministrationCOMMON EMA / FDA APPLICATION FOR ORPHAN MEDICINAL PRODUCT DESIGNATIONForm Approved OMB Control Number: 09100167 Expiration Date:
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Form 3671 is a form used for reporting certain financial information related to specific transactions or status as required by regulatory authorities.
Entities or individuals that meet certain criteria outlined by the regulatory authority are required to file Form 3671.
To fill out Form 3671, individuals must provide required identification and financial information, following the specific instructions provided on the form.
The purpose of Form 3671 is to collect and report relevant financial data that aids in regulatory oversight and compliance.
Information required includes identification details, transaction specifics, and any other relevant financial data as specified in the form's instructions.
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